HomeMy WebLinkAbout2012-00325 - roofing � CITY OF ORONO * 2 0 1 2 — 0 P1 3 2 5 *
2750 KELLEY PARKWAY DATE ISSUED: 04/25/2012
� ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 743 BR[DGEWATER DR
PIN : 33-]18-23-11-0107
LEGAL DESC : STONEBAY FOURTH ADD[T[ON
: LOT OOl BLOCK 001
PERMIT TYPE : MINOR ALTERATIONS
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING-ASPHALT
ACTIVITY : O/S BUILDING-UNDEF[NED
VALUATION : $ 9,500.00
NOTE: VALUA"TION OF PERMIT:$9,500.00
ROOF[NG PERMI"]'S ISSUED WITHOUT ENOUGH NOTICE POR TEAR OFr INSPEC'1'IONS. (WE REQUIRE 24-48 NOTICE,PKIOR TO
WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A�INAL INSPECTION MAY NOT BE ISSUED.
SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE.
ONCE WORK IS COMNI,F."1'ED THG SIGNS MUST BE REMOVED.
APPLICANT PERMIT FEE SCHEDULE 191.75
ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 4.75
5145 INDUSTR[AL ST
SUITE 103 TOTAL 196.50
MAPLE PLAIN, MN 55359
(763)479-8700
Minnesota State License#: 20631574
OWNER
GATEHOUSE, IAN
743 BRIDGEWATER DR
LONG LAKE, MN 55356-
AGREEMENT AND SWORN STATEMENT
I'he work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State E3uilding Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time afrer work has commenced.
The app� ant is responsible for assuring all required inspections are
reque e i nformance with the State Building Code.This permit may be
rev ed t time for due cause. �- I �
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Applicant Permitee Signature Date Issued[3y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� . Cit of Orono
Y
Building Permit Application for Maintenance / RenQvation
' (windows, doors, siding, re-roof, etc.)
�-� Mailing Address:
�g,0,�. PO Box 66 Permit number.
�Q �\` � Crystal Bay, MN 55323-0066 Date received:
j Pi.
� Received by:
�� � ; ��,�v s, Street Address:
�'�, �`�' G� 2750 Kelley Parkway Plan review fee:
L�kESHO�� Orono, MN 55356
Total Fee:
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in full and all required information must be submitted.
Incomplete applications will be returned. (Please print)
GENERAL INFORMATION:
Job Site Address: � � Q� •�, -� ,��', .-G�a ,
� G J� - � ^
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes �lo
If yes, a special event permit is required with Police Department and City Counci/approva/60 days prior to fhe event. Shuttle bus service will be
required un/ess app/icant demonstrates sufficient on-site parking is available. Non-permrtted events will nof be allowed.
CONTRACTOR/AP�LICANT INFORMATION:
Name: � i�S ,;' �f�.�,S'�r������.n
State License# � ; � S 7 Expiration Date: 3--.3�_J�f
Lead Certification Number: � �_g� Z�Z -� Z-��j� -���_ Expiration Date: T "' E-� 7
(for work on homes that were constructed prior to 1978
Phone: c�I�.�Z(C7 - /���� (���1 ) (office)7��5•-y�7y '� ��X� (�+�-
Mailing Address: � � �� Cit � �--� s c
�,4 � • S Y._ �1�.7� ZIP:
Contact Person: ��"L� '��,,.�.t,f- �,` Applicant is: Contract / Homeowner (Circle One)
Email and/or Fax: C`i��� �a��5���li' , c i,L v/ti
PROPERTY OWNER INFORMATION:
Name: _: (�Ei 1 . c�v(��t �V` Ls ��.E
Phone(day): •
Address `7�3 .���,�.j�_�t ,�. City. �;��� ,:, ZIP:
Email and/or Fax
PROJECT INFORMATION;
Type of Project: ! Any earth movement may require
MCWD review&permits:
❑ D or(s) ❑ Remodel ❑ Fire Damage Minnehaha Creek Watershed District(MCWD)
� Re-roof, asphalt ❑ Repair ❑ Storm Damage 18202 Minnetonka Blvd
❑ Re-roof, cedar ❑ Restoration ❑Water Damage Deephaven, MN 55391
Phone: 952-471-0590
❑ Re-roof, other(specify) ❑ Siding ❑ Other: (specify) Fax: 952-471-0682
❑Window(s) www.minnehahacreek.orq
Overall Project Description:�J���,-. d ,� - ,,;�--�,�
Estimated Construction Valuation of Project(excluding land) $ �,��i�
APPLICANT ACKNOWLEDGEMENT:
• Agrees to provide all information required or requested by the Building Department;
• Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they
are solely responsible for submitting a complete application being aware that upon failure to do so, the staff has no alternative
but to reject it until it is complete;
• Some or all of the information that you are asked to provide on this application is classified by State law as either private or
confidential. Private data is information which generalty cannot be given to the pub(ic but can be given to the subject of the
data. Confidenfial data is infor ation which generally cannot be given to either the public or the subject of the data. Our
purpose and intended use o s ' mation is to annually update our records and records of other governmental agencies
re uired b law. If ou ref e t the information, the a lication ma not be issued.
ApplicanYs Signature: Date: ���� —� �
Last Updated: 08-09-2011
C'�Y��, AT�i TIME ✓
CITY OF ORONO CALLED IN �-�l
INSPECTION NOT1,CE SCHEDULED — �
PERMIT NO. °���°`—��Z s COMPLETED
ADDRESS �l"� �� �� /�C�
OWNER TELEPHONE NO. 7�� T� �7�
CONTRACTOR ����
>; DESCRIPTION �l�
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� ❑ FOOTING ❑ PLUMBING FINAL ❑ EXCAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
� ❑ FRAMING ❑ MECHANICAL FINAL
O ❑ TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
Q ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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� ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑Ct�RRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ❑ pHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-46�0
OwnerlContractor on site:
Inspector. � � �-�
White Copyllnspector's File Canary CopylSite Notice
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' t� C � �� � DATE TIME
CITY OF ORONO CALLED IN �-�`� �-
INSPECTION NOTICE /�, ��,scHEDULED �
PERMIT NO.��-C.� l .� l '� , —�OMPLETED
ADDRESS � �� �� r i ��r' (_tY'.� ��c' �J�
OWNER TELEPHONE NO. ' "5 � ���1G
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CONTRACTOR C� "`
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�: DESCRIPTION '"�- ��� �-
� ❑ FOOTING ❑ PLUMBING FINAL ❑ CAV/GRADING/FILLING
Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORE/WETLANDS
y ❑ FRAMING ❑ MECHANICAL FINAL � TREE REMOVAL
Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION
Q ❑ RADON SLAB ❑ WATER HOOK-UP ❑ PROGRESS
� ❑ FINAL ❑ SEWER HOOK-UP ❑ COMPLAINT
� ❑ DEMO-SITE ❑ SEPTIC MAINT. ❑ FOLLOW-UP
_ ❑ DEMO-FINAL ❑ SEPTIC INSTALL ❑ HARD COVER REMOVAL
J ❑ PLUMBING RI ❑ SEP�FINAL ❑ FOUNDATION/REMOVAL
� OWNERICONTBACtQB�Q MEET YOU: YES_NO
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� COMMENTS:\ i � ZL�� n'j l fC�;�' _I.L i c`�C�t � 1 ` )< < f-
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GW�DQRK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT WORK 8�PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
W
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. O PHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (952) 249-46��
OwnerlContract r on sit � /
Inspector.
White Copyllnspector's File Canary CopylSite Notice